Most people prefer to stay in their home or apartment for as long as possible. The best way to make this a reality is to plan ahead of time to make the amenities in your home as safe and accessible as possible. It can be hard to imagine that tasks around the house that were once done with ease can one day pose a challenge. Anticipating the challenge and planning accordingly may allow you to remain in your home for an extended period of time. Often, with some minor modifications, your home can be adapted to help you stay as long as possible even with some loss of mobility.
HOME MODIFICATIONS
Living at home longer may mean renovating a home to make it more accessible. This can include such things as installing ramps to bypass stairs, building a bedroom on the main floor, placing grab bars in the shower, changing the height of kitchen countertops or making a bathroom safer and more accessible. Before you make home modifications, you should evaluate your current and future needs by going through your home room by room and answering a series of questions to highlight where changes might be made. Several checklists are available to help you conduct this review. The National Resource Center on Supportive Housing and Home Modifications is a good place to start. Go to the center’s website at http://www.homemods.org and click on the link to the “Safety Checklist and Assessment Instrument.”
GETTING HELP
Keeping a house running smoothly requires a lot of hard work. If you are no longer able to keep up with the demands, you may need to hire someone to do laundry, buy groceries, run errands, clean the house or perform any necessary repairs. Those who are unable to perform Activities of Daily Living (ADLs), such as getting in and out of bed, walking, bathing, dressing, and eating, can often continue to stay at home with outside help. There are a number of services that can be brought in to assist with ADLs and other personal care. You can hire someone, such as a personal care aide or home health aide, to help you out a few hours a day or around the clock.
Some health care services can be provided at home by trained professionals, such as occupational therapists, social workers or home health nurses. Check with your insurance or health service to see what kind of coverage is available, although you may have to cover some of these costs out of pocket. If very specific conditions are met, Medicare will help pay for all or a portion of home health care.
TRANSPORTATION
Declining health often causes a decline in independence and mobility. Many seniors lose the ability to drive or simply feel uncomfortable behind the wheel at night. Investigate transportation options in your area so you can maintain an active social life, get medical care and shop for necessities. You might find family members willing to take you to the grocery store, friends who will drive you to social events, nearby bus routes, reduced fare taxis or senior transportation services funded by a local not-for-profit. Staying in your home should not mean being cut off from community activities you enjoy. Finding new ways to get around, even after you are no longer driving, may allow you to stay engaged and active.
How the ‘Uber Economy’ May Threaten Assisted Living The so-called ‘Uber economy’ has created controversy about what the future of various industries will look like—the senior living sector included. How the ‘Uber Economy’ May Threaten Assisted Living
Companies such as Uber, Instacart and TaskRabbit now offer alternatives to past ways of offering senior-oriented services, consequently transforming how the older demographic accomplishes everyday tasks, The Washington Post reported.
“I’m all for all these newfangled things that make life easier,” 88-year-old Sally Lindover told the Post. Lindover uses Instacart, which grocery shops for its users, and rents out her apartment’s second bedroom using Airbnb.
“I like to be here when people come in,” Lindover said. “I like to see them, and they see me, and I can give them some information about the neighborhood.”
Over 50% of Airbnb’s hosts are older than 40, and 10% of them are older than 60, the Post reported. Empty-nesters often have a surplus of rooms to rent, as well as “the life experience to know what it means to welcome someone into your home,” according to Anita Roth, Airbnb’s head of policy research.
Meanwhile, 25% of the drivers at Uber, which recently announced a partnership with AARP, are 50 years old or older.
According to the Post, traditional senior-oriented services are considering the possibility that similar tech companies may steal away their future customers.
“I do view it as both a threat and an opportunity,” said Tom Grape, CEO of Benchmark Senior Living. He added that decision not to move to senior living “is already our biggest competitor, and of course we fully expect that technology will allow people to stay at home longer in the future.”
Written by Mary Kate Nelson of SeniorHousingNews.com
The Struggle with Allowing Someone to Care for You
You would never think you would have such a hard time accepting help. All of these years, you’ve probably asked for help or just wished someone would come along who would help you. However, now that you have someone at your beck and call, you hate it. You just want to be left alone, so you can do what you need to do. Struggle with Allowing Someone to Care for You
The problem is that sometimes, you know you can’t do what you want to do. You’ve tried to do everything on your own, but you’re making more and more mistakes. It’s so hard!
While you could turn to your loved one for help, you have this feeling that it’s going to be the beginning of the end of your independence. You don’t want to give that up. It’s too troubling.
So what do you do?
It’s time to come to terms with what is going on in this stage of life.
You don’t have to relinquish everything. You have a lot of independence still inside of you, so you should take advantage of it. That does not mean you shouldn’t ask for help.
When you ask for help, you aren’t asking for someone to do everything for you. What you are asking for is someone to come in and do something you are not able to do right now.
When Help Wants to Do Everything
Some people do have a tendency to take over when they are asked for help. Instead of asking what you need, the person just steps in and does everything. This can be quite frustrating!
How you can control this is by asking for help with something specifically. For example, you can say, “Can you please place this big pot of water on the stove for me?” That’s it. You aren’t asking for that person to cook for you, or do anything else. You’re just asking to have the pot moved.
Now, if that person takes it upon him/herself to do more, you can then interject and say, “No, no, it’s okay I can do the rest.” You don’t have to say it in a way that will hurt the person’s feelings. You can just state a fact.
If this doesn’t seem like something you can say, you can always distract the person with something else you need help with such as, “Can you instead set the table for me?” or “Can you run to store for some more butter?” By giving the person a task, you end up freeing yourself from the unsolicited help, and you end up getting even more out of the deal – something you actually do need help with at the time.
Why People Don’t Get It
People have a hard time believing you still have the mental and physical capacity to do a lot of things yourself. They see the changes in you from aging, and they take what they’ve read and seen in society and place them on you. It’s not right, but it really does come from a good place.
Try these suggestions. If they don’t work, or you feel as though you still can’t ask for help at all, you may want to consider asking for help from a personal consultant like Kendall Van Blarcom. He can help you figure out what you can do about this situation, so you can start to feel better about it all.
Kendall Van Blarcom
www.kvanb.com
Many aging seniors are not willing to leave home for an assisted living placement. Often, a health crisis must occur before they agree to placement. We cannot blame them; home is their security and freedom. Home is a familiar place where they feel comfort and joy. Naturally, when we give them choices, whether to live in an assisted home community or stay at their home by themselves, they choose the latter. Live-in Companionship
However, when children have their own lives to live, leaving aging seniors by themselves creates worry and stress. Hiring a live-in companion is an ideal solution.
The Responsibilities of a Live-In
The responsibilities of a live-in companion may vary depending on the elders need. Generally, a live-in companion provides assistance on ADL’s (activity of daily living), meal preparation, home maintenance, laundry and running errands. Live in Companions for Seniors
The Advantages of Senior Care at Home with a Live-In
Hiring a live-in companion has several advantages over assisted living placement.
Seniors will enjoy the benefit of staying home. This setting will personally benefit the seniors. They are able to stay in their own house, and enjoy living near family and friends. Also, they are able to eat meals according to their liking. With a live-in companion, you are able to receive one- on- one assistance and care as oppose to care being provided for group settings where you have limited choices.
Family members can participate in care giving. Aging parents need their family’s love and support. With your family member around or near you, you are able to participate in care giving. Giving them a few hours of your time is a perfect way of expressing your love and appreciation to them.
Live-in caregivers are cost effective. Many think live-in caregivers are an expensive option since board and lodging will be provided. Yet, a live-in companion is reported to be cheaper than the cost of assisted living placement or long term care facility. Also, this setting is flexible. If assistance is not necessarily in 24/7 basis, you can have your own schedule to benefit both the caregiver and the recipient.
Live-in caregivers develop trust. The continuity of a live-in foster’s trust. When you are away from home, you will not worry about your parents because you know they are in good hands.
Home care minimizes exposure to contagious illnesses. In senior’s facility, there are groups of people who share common places like dining. There your loved one may be exposed to possible contagious diseases. If they are living at home their exposure can be minimized.
A live-in companion for your aging parent has a great advantage in comparison to the assisted living placement. However, it is not an ideal option for elders who have chronic or complicated health issues.
“In case of a loss in cabin pressure, oxygen masks will drop down from above…. Please be sure to secure your own mask before assisting others.” If you’ve flown on an airplane in the last few decades, you’ve heard this speech. It illustrates the truth that you have to take care of yourself in order to care effectively for others. Taking Care of the Caregiver
Are you caring for aging parents, young children, a relative who is ill, or some combination of the above? You know how challenging it can be to find the time to take care of yourself–body, mind and spirit.
And, if you don’t take care of yourself, you are setting yourself up for caregiver burnout. Symptoms include depression, anxiety, irritability, difficulty sleeping, fatigue, trouble concentrating, deteriorating health, and resentment toward those you’re caring for.
Here are five ways to help stay centered and at peace while you care for others:
Ask for help
Don’t be shy about telling family and friends how they can assist you. Delegate caregiving tasks such as helping with groceries and errands. Look into respite care— adult day care services or paid or volunteer in-home helpers may be available through local agencies. Develop a cooperative childcare arrangement with other caregivers and take turns getting away.
Practice Acceptance
When dealing with a family member’s illness, you may have struggled to make sense of the situation and asked, “Why!” You’ll feel better if you focus on best ways to respond to the situation. Try to see a silver lining—how you are growing as a person, the opportunity to express love…
Care for Your Health
Nutritious foods including fruits and vegetables help keep your energy steady. Go easy on sweets and caffeine that give a quick pickup followed by a crash. Try for at least 30 minutes of exercise a day. It boosts your energy, relieves stress, lifts your mood and helps you sleep better. Relaxation is important: A few minutes of yoga or meditation in a stressful day can help you stay centered. Remember your own medical exams and appointments!
Find a Support Group
Talking with others having similar experiences is a tried and true way to maintain emotional balance— and an opportunity to share knowledge and practical tips. You’re not alone! Find a group through your doctor or hospital, or through an organization dedicated to the relevant disease or situation. Online groups are also available.
Take a break!
For at least a half hour daily, do what you love, whether it’s reading poetry, working in the yard, or watching the game. Get out of the house; if you can’t get out, invite friends in. Share your feelings–just expressing what you’re going through brings a lot of relief. Find ways to pamper yourself. Light candles and take a bubble bath. Put on music and dance. Get a manicure.
A reflexology session is also an excellent way to nurture yourself. Reflexology sessions include techniques to calm the nervous system, help eliminate toxins and encourage the release of endorphins, natural “feel-good” hormones. From the moment a reflexologist’s hands start their work, relaxation begins. And it feels great!
For more tips click here Laura Norman, M.S., LMT, world-renowned Holistic Reflexologist and author of the best-selling book, Feet First: A Guide to Foot Reflexology, offers private Reflexology and Life Wellness Coaching sessions in Delray Beach and Holistic Reflexology Training Programs in Boynton Beach.
I was speaking to a client the other day who was quite frustrated with her elderly mother. She can see her mother is having a difficult time making decisions, but when she tries to help, her mother becomes upset. This then can lead to an argument that keeps them from talking for days. When they finally do start talking, there’s an awkwardness. This can then sometimes lead to another argument that ends up causing the relationship to suffer.
As I was talking to this particular client, I realized that it wasn’t exactly the advice the caregiver was giving that made her mother upset. It was the way she was giving that advice or help.
Once we discussed this, we were able to start discussing some better ways to approach giving help or advice.
Some of the approach we came up with were:
Suggestions vs. Commands
My client often gave advice by saying, “Don’t do it that way. Do it this way.” This immediately made her mother feel defensive, so she retaliated.
A better way to approach it is by saying, “You could do it this way.” or “The other day, I did it this way, and it helped.”
These suggestions will not make mother feel as though she is being given an order. They make her feel like she is getting ideas on how to do things better.
More Talking
One of the concerns my client had was she doesn’t really talk with her mother anymore. All she really does is tell her what to do and how to do things. This lack of communication could be wearing on their relationship, which makes it sensitive when she does approach her mother with something that needs to be done.
By taking time to engage in conversations with her mother, she is able to not only build a stronger relationship with her, but can help her make better decisions. As her mother discusses what she has to do, she usually comes up with ideas with the help of her daughter.
Waiting to Be Needed
Another problem my client brought up was that her mother always seemed to push back when she tried to help. Even when she took her arm to help across an even part of the ground, her mother shook her arm free from her.
It’s good to understand that many elderly people do not want to feel as though they are completely dependent on others. They want to be able to do as much as they can independently, and then ask for assistance if they can’t do something.
It’s best to back off and just be there in case your help is needed, instead of imposing your help. This is what my client came up with as we were talking. After she did this, she found that it was much easier to help her mother when she needed it.
If you find yourself in the same situation as my client, you may want to try these tips. If they don’t seem to help, consider booking an appointment with me – personal consultant Kendall Van Blarcom. I am a senior helping seniors and their caregivers. I can help you have a better relationship with your aging parent, so you can both enjoy the time you spend together.
Kendall Van Blarcom
www.kvanb.com
Managing Caregiver Stress The work that goes into being a primary caregiver for a sick or elderly family member is very difficult, and the number of Canadian caregivers feeling distressed, upset or even depressed has nearly doubled in the last few years. Managing Caregiver Stress
According to the Huffington Post, 33 percent of folks who provided care for a loved one at home had feelings of depression, stress, anger or anxiety in 2013-14, but in 2008-09, just 16 percent of caregivers reported those same feelings.
Recognizing how negative side effects may manifest themselves is important for identifying caregiver stress. There are also a number of ways to prevent or lower unhappiness or anxiety, which is important for providing the best possible elder care for loved ones who need it most. Potential Influences
One reason that folks taking care of an older family member might not recognize the risk of chronic stress in their lives is that they may not consider themselves caregivers. The Mayo Clinic reported that family members providing support and care for an elderly parent may overlook the seriousness of the work they do. Identifying as a caregiver is an important step in treating any related stress.
There are a number of factors associated with caregiver stress, according to the Mayo Clinic, and these may increase a person’s likelihood of developing more serious anxiety or depression. For example, living with the person you are caring for can make it difficult to mentally balance the responsibility with the rest of your daily life, especially if you are caring for someone who is very sick. This can also lead to social isolation, which may exacerbate feelings of sadness or stress. Other complicating factors include previous depression, financial concerns or prolonged hours of providing care.
Being a caregiver is difficult work, and it is important to not only recognize and respect the responsibility, but also be able to identify what the stress can do to a person. Possible Symptoms
The stress associated with being a caregiver can have long-term negative consequences on health in the long-run. Anxiety can be very detrimental to the heart, and the sadness or stress related to being a caregiver may lead to poor sleep and diet, which can further health problems.
In the short-term, caregivers that are feeling stressed, angry or depressed may exhibit any number of symptoms. According to the Mayo Clinic, these may include feeling overly concerned or uneasy, feeling fatigued, weight gain or irritability.
Stress can also work in the opposite way and cause insomnia or weight loss, and can also cause physical discomfort like headaches or bodily pain. Stressed caregivers may also have feelings of apathy or even abuse alcohol and drugs. Remedies
As a caregiver, identifying stress or anxiety is important in mitigating it. Even if symptoms are benign or generalized, it is still critical to take steps to mitigate stress as a way of avoiding resentment or burnout and maximizing the quality of care a loved one receives.
Maintaining a healthy diet and exercising are important for the body to remain in balance, but the Mayo Clinic reported that avoiding caregiver stress often requires more calculated measures.
Asking for help is key for caregivers, who can often take on more work than they need to. Bringing in a friend or family member will limit feelings of isolation as well as give you a break as the primary caregiver, and support in anything from cooking and cleaning to helping with transportation and medical appointments can go a long way.
Outside of friends and family, there are a number of resources and support groups designed to connect caregivers with one another. This way best practices and remedies can be shared, and caregivers can find a community with similar needs and problems.
By Tim Watt
Sunrise Senior Living
Responding to Caregiver Criticism Getting criticized is unpleasant, especially from family or friends who don’t lift a finger to help care for your older adult! When you get a hurtful comment, take a deep breath and try to stay as calm as possible. Then, try one of these 3 responses. Responding to Caregiver Criticism
If it makes you feel any better, your calmness will only frustrate someone whose goal is to make you angry. 1. Acknowledge their concern, then ask what they’d suggest instead
When someone criticizes how you did something, it’s automatic to snap back defensively. But that’s only going to cause a shouting match that will leave your blood boiling and won’t stop the criticism from happening again.
Next time, acknowledge their concern and ask for their suggestions on how to improve. You might not be interested in their opinion, but because they’re probably expecting a fight, this response will surprise them and change the tone of the conversation.
For example:
Your sister says: Why did you give Mom a cheeseburger and chocolate milkshake for lunch? That’s so unhealthy! Are you trying to give her a heart attack?
You could say: I see why you’re concerned. The truth is, Mom’s appetite has been really bad lately. Her doctor says that anything, even unhealthy foods, are better than not getting enough nutrition. What other kinds of foods would you suggest? 2. Repeat the criticism back to show how it made you feel
Some people don’t think before they speak and don’t realize they’ve hurt your feelings or come across as critical. It’s possible to let them know that what they said was not acceptable without starting a fight. Do this by calmly repeating it back to them, but using an “I” statement.
Example 1
Your brother says: I’m too busy to help out.
You could say: I feel like you don’t value my time and take what I do for granted when you say that you’re too busy to visit or help out with Dad.
Example 2
Your adult child says: Why are you sending Dad to that adult day place? He doesn’t need that and he’s not like those other people! He should be at home with you. You’re always at home anyway.
You could say: It really upsets me when you tell me how I should be doing things without first understanding the real situation with your father.
Example 3
Your aunt says: This kitchen isn’t as clean as she used to keep it! And that living room looks like it hasn’t been dusted in weeks! Do you even try to keep your mom’s house clean?
You could say: It makes me feel unappreciated when you focus on what else needs to be done instead of recognizing all the things that I already do for my mom. 3. Politely stand up for yourself
Some criticism is completely out of line. In these cases, you should absolutely stand up for yourself. The trick is to do it calmly and politely. That way, the person saying those things will be more likely to listen to you and think twice before saying things like that again.
For example:
Your brother says: You’re obviously neglecting mom! You don’t even bathe her every day. She loves to be clean and shower every day.
You could say: I’m not neglecting Mom. Because of her Alzheimer’s, she’s developed a fear of bathing. Her doctor said that we only need to do it twice a week. Her clothes are always clean and she’s healthy, well-fed, and happy. It’s clear that I’m doing a great job caring for her. Bottom line
Screaming at people who criticize you might feel good in the moment, but it doesn’t help reduce your stress or cut down on future comments. You might even feel worse later because you didn’t get your point across or say what you really wanted to.
The next time someone tries to tell you how you should be caring for your older adult, improve your own health by counting to ten and trying one of these responses.
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